Important note: Information in this article was accurate in 2004. The state of the art may have changed since the publication date.



Question:

My ex-fiance died of AIDS on September 8, 2004. He had been hospitalized with PC pneumonia in April 2003. We had been having unprotected sex since January 2003. I didn't know that he was HIV positive (he told me that he suffered from a Gulf War illness from serving in the military) until right before he died. Our last sexual encounter was in early August - a month before his death. I had donated blood in April of 2004 and I know that the blood is tested for HIV. Upon my fiance's death, I tested twice (once to get an insurance policy and once with my doctor) in mid-September. All tests came back negative. My concern is that since mid-October, I've been breaking out with hives (welts) that are sometimes so severe that I've began taking antihistamines (loratidine) to diminish the outbreaks. Are hives symptoms for those patients exposed to HIV? Should I get tested again? If so, when? Is it possible that I could have escaped this disease even though I've had unprotected sex with this man for more than 1 1/2 years?

Answer provided by Daniel H. Bowers, M.D.:


Yes it is possible that you did not pick up HIV after 18 months of unprotected sex.

I noted that your last sexual contact was in August, and you were last tested in September. I would recommend another HIV test. The standard screening test looks for antibodies to HIV, but there is a lag time between picking up HIV and producing detectable antibodies. Fifty percent of patients will have detectable antibodies 2 weeks after exposure, but some can take up to 6 months before antibodies can be detected.

That being said, I do not feel the hives are indicative that you are HIV positive. It could very possibly be anxiety, which is often seen as a cause for unexplained recurrent hives.


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